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Service Booking Form

Billing Details

The following information supports your application to book with Halogen DJ Company (hereby referred to as the “Firm” in this document).
e.g. work, family or friend
i.e. Google, Friend Referral, etc.
i.e. DJ hire, Speaker hire, etc.

Function Location

if a residential property (please enter HOUSE)

Function Details

Identification Details

(You submit the following uploaded documents as evidence of your identity) All images must be clearly visible, and driver's licenses and other cards must have back and front uploaded. All IDs must be current and within their expiry date. We do not accept international ID. This is to verify your identity so that no one can book on your behalf, to confirm that the identification details provided are not from a fraudulent card, and can be used for other applications as outlined in the Terms and Conditions. All ID provided must belong to the booking applicant.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Credit Card Details

(You submit the following uploaded documents) All images must be clearly visible, credit card must have the back and front uploaded. The credit card must be current and within its' expiry date and must belong to the booking applicant, to ensure that the details provided are not from a fraudulent card, and can be used for other applications as outlined in the Terms and Conditions.
i.e. banks, credit unions
i.e. location of branch
Located at rear of card
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Services That You Require

Further Options - Additional Cost

Please ensure that you have obtained a direct quote from one of our customer consultants.
Please ensure to provide here any other additional information that we may need.
Please read our terms and conditions.

PLEASE ALLOW UP TO 3 MINUTES FOR THIS FORM TO SUBMIT

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